COUNTY OF VENTURA

Provider Demographics

• NPI: 1629167457
• Name: COUNTY OF VENTURA
• Entity Type: Organization
• Organization Name: COUNTY OF VENTURA
• Other - Org Name: VENTURA COUNTY MEDICAL CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: DIRECTOR
• Authorized Official - First Name: BARRY
• Authorized Official - Last Name: ZIMMERMAN
• Authorized Official - Phone: 805-648-5993
• Mailing Address - Street 1: 800 S VICTORIA AVE # 4640
• Mailing Address - City: VENTURA
• Mailing Address - State: CA
• Mailing Address - Zip Code: 93009-4615
• Mailing Address - Country: US
• Mailing Address - Phone: 805-648-5993
• Practice Address - Street 1: 300 HILLMONT AVE
• Practice Address - City: VENTURA
• Practice Address - State: CA
• Practice Address - Zip Code: 93003-1651
• Practice Address - Country: US
• Practice Address - Phone: 805-652-6000
• Practice Address - Fax: 805-648-9561
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-12
• Last Update Date: 2023-03-17

Provider Licenses

State	License ID	Taxonomies
CA	050000032	261QE0002X, 261QF0050X, 261QI0500X, 261QM0801X, 261QM0850X, 261QM0855X, 261QM1300X, 261QM2500X, 261QP0905X, 261QP2000X, 261QP2300X, 261QR0200X, 261QR0206X, 261QU0200X, 282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	261QE0002X	Ambulatory Health Care Facilities	Clinic/Center	Emergency Care
No	261QF0050X	Ambulatory Health Care Facilities	Clinic/Center	Family Planning, Non-Surgical
No	261QI0500X	Ambulatory Health Care Facilities	Clinic/Center	Infusion Therapy
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	261QM2500X	Ambulatory Health Care Facilities	Clinic/Center	Medical Specialty
No	261QP0905X	Ambulatory Health Care Facilities	Clinic/Center	Public Health, State or Local
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy
No	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center	Primary Care
No	261QR0200X	Ambulatory Health Care Facilities	Clinic/Center	Radiology
No	261QR0206X	Ambulatory Health Care Facilities	Clinic/Center	Radiology, Mammography
No	261QU0200X	Ambulatory Health Care Facilities	Clinic/Center	Urgent Care

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	GR0072001	Medicaid
CA	LAB01063F	Medicaid
CA	ZZT39008F	Medicaid
CA	LAB58856F	Medicaid
CA	HSD39008F	Medicaid
AZ	025553	Medicaid
CA	HSC39008W	Medicaid
CA	GR0072000	Medicaid
CA	HSC39008F	Medicaid
CA	ZZT39008W	Medicaid
CA	ZZT49008F	Medicaid
OR	187047	Medicaid
WA	3004405	Medicaid
CA	ZZT49004F	Medicaid
CA	05S159	Other	MENTAL HEALTH IN- PATIENT
CA	W14746	Medicare PIN
OR	187047	Medicaid
CA	050159	Medicare Oscar/Certification